SUBURBAN EAR,NOSE & THROAT ASSOC., LTD.
NPI 1427148329
Otolaryngology in Rolling Meadows, IL

Q: What is Suburban Ear,nose & Throat Assoc., Ltd.'s specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Active since October 13, 2006CLIA 14D1012375 · Waiver

5999 NEW WILKE RD BLDG 1, ROLLING MEADOWS, IL 60008(847) 259-2530(847) 259-4930 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2022, Oct 6, 2020 (2 updates tracked since 2020).

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About Suburban Ear,nose & Throat Assoc., Ltd. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUBURBAN EAR,NOSE & THROAT ASSOC., LTD. (NPI 1427148329) is a healthcare organization registered as an otolaryngology in Rolling Meadows, Illinois and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Lon J Petchenik, President, as its authorized official.

NPPES Registry Identity

NPI1427148329

Entity TypeOrganization

Primary Taxonomy207Y00000X

Legal Business NameSUBURBAN EAR,NOSE & THROAT ASSOC., LTD.

Location Address5999 NEW WILKE RD BLDG 1Rolling Meadows, IL 60008-4506

Mailing Address5999 New Wilke Rd Bldg 1Rolling Meadows, IL 60008-4506 · (847) 259-2530 · Fax (847) 259-4930

Phone(847) 259-2530

Fax(847) 259-4930

Organization SubpartNo

Authorized OfficialLon J PetchenikPresident · (847) 259-2530

Enumeration DateOctober 13, 2006

Last NPPES UpdateNovember 17, 20222 updates tracked since enumeration

NPPES CertifiedOctober 10, 2022

✔ NPI 1427148329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

5999 NEW WILKE RD BLDG 1, Rolling Meadows, IL 60008

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Other Identifiers 2

Other01616074IL · Blue Cross

OtherCF1147IL · Railroad Medicare

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Suburban Ear,nose & Throat Assoc., Ltd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 13 clinicians reassign Medicare billing to Suburban Ear,nose & Throat Assoc., Ltd., which bills Medicare for the services they deliver. Of these, 7 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 5

Otolaryngology7

Allergy/Immunology2

Qualified Audiologist2

Nurse Practitioner1

Physical Therapist in Private Practice1